Individual
AMY GULAB SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5550 FRIENDSHIP BLVD, SUITE T-90, CHEVY CHASE, MD 20815-7256
(240) 737-0085
Mailing address
12510 PROSPERITY DR, SUITE 200, SILVER SPRING, MD 20904-1663
(240) 485-5200
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0101244348
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093923757
—
VA
Enumeration date
05/18/2007
Last updated
02/08/2016
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